▸ Compare · PriceTransparency
Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in MA
Hospitals
11
Min
$22.75
Median
$99.00
Max
$174.86
Range multiplier
7.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 7 | 73 | $1.40 | $28.23 | $284.65 | 203.3× |
| UnitedHealthcare | 6 | 57 | $7.78 | $69.26 | $191.92 | 24.7× |
| institution [10406] | 4 | 51 | $7.78 | $117.00 | $228.00 | 29.3× |
| Aetna | 6 | 41 | $2.73 | $76.17 | $382.20 | 140.0× |
| Medicaid | 4 | 20 | $20.75 | $56.16 | $161.53 | 7.8× |
| Cigna | 4 | 17 | $5.00 | $159.56 | $235.36 | 47.1× |
| First Health | 5 | 12 | $46.50 | $128.63 | $192.75 | 4.1× |
| harvard pilgrim [10701] | 4 | 12 | $30.26 | $30.26 | $30.26 | 1.0× |
| fallon mcaid carelon hlth [29] | 4 | 11 | $62.00 | $117.00 | $257.00 | 4.1× |
| connecticare [11105] | 4 | 11 | $62.00 | $117.00 | $257.00 | 4.1× |
| geisinger | 1 | 11 | $4.24 | $24.00 | $346.08 | 81.6× |
| grants [20507] | 4 | 11 | $62.00 | $117.00 | $257.00 | 4.1× |
| devon health | 1 | 10 | $9.80 | $33.32 | $411.60 | 42.0× |
| correctional care [11003] | 3 | 10 | $7.78 | $159.56 | $161.53 | 20.8× |
| evernorth behavioral health [27] | 3 | 9 | $49.60 | $93.60 | $182.40 | 3.7× |
| masshealth mcd mbhp [38] | 3 | 9 | $62.00 | $117.00 | $228.00 | 3.7× |
| tufts connectorcare [10507] | 4 | 8 | $13.23 | $271.41 | $274.77 | 20.8× |
| Multiplan | 3 | 8 | $74.25 | $129.38 | $192.75 | 2.6× |
| tufts [11201] | 4 | 8 | $23.04 | $39.51 | $160.64 | 7.0× |
| mgb mcr [10124] | 4 | 8 | $8.17 | $160.55 | $169.61 | 20.8× |
| fallon mcr [10105] | 3 | 7 | $8.17 | $167.53 | $169.61 | 20.8× |
| senior whole health [10110] | 4 | 7 | $8.32 | $170.73 | $172.84 | 20.8× |
| CHAMPVA | 4 | 7 | $7.78 | $137.74 | $163.91 | 21.1× |
| tufts us family [11203] | 4 | 7 | $7.78 | $159.56 | $161.53 | 20.8× |
| pennsylvania health and wellness | 1 | 6 | $3.88 | $19.10 | $163.09 | 42.0× |
| optum transplant [20601] | 2 | 6 | $99.00 | $117.00 | $228.00 | 2.3× |
| automobile [10401] | 2 | 6 | $99.00 | $117.00 | $228.00 | 2.3× |
| wellsense cc carelon hlth [20] | 2 | 6 | $99.00 | $117.00 | $228.00 | 2.3× |
| Medicare | 4 | 6 | $7.78 | $159.17 | $161.53 | 20.8× |
| wellfleet [11106] | 2 | 6 | $89.10 | $105.30 | $205.20 | 2.3× |
| commonwealth care mcr [10115] | 3 | 5 | $8.17 | $167.53 | $169.61 | 20.8× |
| fallon carelon hlth [28] | 2 | 5 | $62.00 | $226.00 | $257.00 | 4.1× |
| hp optum bh [32] | 2 | 5 | $62.00 | $226.00 | $257.00 | 4.1× |
| innovage | 1 | 5 | $2.50 | $8.50 | $105.00 | 42.0× |
| keystone first | 1 | 5 | $3.09 | $10.52 | $129.91 | 42.0× |
| occunet | 1 | 5 | $3.50 | $11.90 | $147.00 | 42.0× |
| point comfort | 1 | 5 | $4.00 | $13.60 | $168.00 | 42.0× |
| tufts dual [10111] | 3 | 5 | $7.78 | $159.56 | $161.53 | 20.8× |
| workers compensation [20501] | 4 | 4 | $22.67 | $22.67 | $22.67 | 1.0× |
| tufts mcr [10112] | 2 | 4 | $9.01 | $168.57 | $169.61 | 18.8× |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $8.17 | $87.85 | $167.53 | 20.5× |
| wellpoint [11112] | 4 | 4 | $31.01 | $65.75 | $100.49 | 3.2× |
| hsno/free care [10801] | 4 | 4 | $294.30 | $672.16 | $680.81 | 2.3× |
| eternalhealth mcr replace [10116] | 2 | 4 | $8.17 | $87.85 | $167.53 | 20.5× |
| fallon connectorcare [10503] | 2 | 4 | $55.46 | $56.73 | $58.00 | 1.0× |
| tufts mcr supp [20209] | 2 | 4 | $8.17 | $87.85 | $167.53 | 20.5× |
| fallon mcr supp [20202] | 2 | 4 | $9.01 | $168.57 | $169.61 | 18.8× |
| hne [11108] | 3 | 3 | $52.77 | $52.77 | $147.08 | 2.8× |
| wellsense mcaid carelon hlth [21] | 1 | 3 | $62.00 | $70.00 | $226.00 | 3.6× |
| qualcare inc | 1 | 2 | $234.24 | $242.02 | $249.79 | 1.1× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Marlborough Hospital | Marlborough | MA | 36 | $228.00 | $228.00 | $7.78 | $99.00 | $672.16 |
| Umass Memorial Medical Center | Worcester | MA | 36 | $228.00 | $228.00 | $7.78 | $99.00 | $672.16 |
| Whittier Hospital-Bradford | Bradford | MA | 3 | $550.00 | $550.00 | $6.61 | $89.39 | $158.78 |
| Harrington Memorial Hospital | Southbridge | MA | 30 | $226.00 | $226.00 | $8.58 | $70.00 | $680.81 |
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 14 | $420.00 | — | $1.40 | $22.75 | $411.60 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 9 | $305.00 | $63.53 | $12.45 | $174.86 | $284.65 |
| Healthalliance-Clinton | Leominster | MA | 30 | $257.00 | $257.00 | $22.67 | $161.53 | $294.30 |
| North Adams Regional Hospital | North Adams | MA | 0 | $229.74 | $218.25 | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | $229.74 | $218.25 | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | $229.74 | $218.25 | — | — | — |
| North Shore Medical Center | Salem | MA | 0 | $796.79 | $796.79 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.